The awareness of SLAP lesions rises gradually and also the number of patients who underwent surgical treatment with the diagnosis of SLAP is increasing since it is first diagnosed in 1990. It is often difficult to make a definitive diagnosis of SLAP lesions by clinical and radiological methods, and this is usually accomplished during surgery. Although the treatment of SLAP lesions are generally successful, careful and skeptical approach at the stage of diagnosis is very important for achieving good results. This article tries to summarize the current approach to SLAP lesions.